What is osteoporosis? - Doctablet®

What is osteoporosis? Osteoporosis diagnosis and treatment


Medicine, Osteoporosis

Bones maintain the structure in our bodies like beams do to a building.


What is osteoporosis?

Bones support the body just like the beams used to make a building. The strong beams used in building skyscrapers are usually made of steel, while bones are made up of mostly calcium and protein. Calcium and other ingredients join together to make very strong minerals. These minerals are hard, but when they bind together with special proteins, the bone becomes more flexible, preventing it from breaking easily. Bones stay strong by a process that constantly removes old bone and replaces it with freshly made bone. This process is called “remodeling.” This remodeling naturally slows down as you get older. If the supporting beams of a building are weak, the building could collapse and break down. In a similar way, if the bone’s structure becomes weak, it is more likely to break. When your bone breaks, doctors call this a “fracture. So, what is osteoporosis?: when the bone is weak in its structure, doctors call this osteoporosis.

Osteoporosis risk factors

There are risks that can increase the chances of buildings breaking down. Rain, wind, snow and floods can do damage to the building. Similarly, there are also forces that can weaken the structure of bones. These forces include age, smoking and lack of important vitamins — like vitamin D — as well as drinking too much alcohol. Medications like the steroids used for allergic reactions and asthma can also weaken the bone. There are also rare causes of bone destruction related to excess hormones in the body. The doctor may recommend testing for some rare causes of bone problems, but usually, the other risk factors are more common. 

Osteoporosis risk factors include advanced age, smoking and lack of important vitamins — like vitamin D — as well as drinking too much alcohol.
osteoporosis risk factors

Osteoporosis diagnosis

It can be hard for engineers to look at the steel beams inside a building to see if the building is weak, but doctors have a much easier time examining the bone. Doctors can use X-rays to see if the bone is weak. The weaker the bone, the easier it is for energy rays to pass through it. Doctors use this information when they order a specialized X-ray test for bones called a DXA scan (dexa scan). Doctors score the strength of your bone to that of young, healthy people to get an idea of how weak the bone is. This score is called the T-score. A bone density scan is recommended for females 65 years of age or older. Younger females can also be screened if their risk of breaking a bone is similar to that of a 65-year-old.

An osteoporosis diagnosis can be reached two ways:

  • One way is when a patient breaks a bone that usually only breaks when it is fragile, such as the hip and the lower backbone (called the lumbar spine).
  • The other way is when the score on the DXA scan (dexa scan) is lower than the average young population (this score is called the T-score). When the T-score is equal to or less then -2.5, the patient has osteoporosis.

Osteoporosis treatment:

A doctor may offer treatment for osteoporosis. Nutrition and exercise are often recommended as a first-line treatment. Taking in adequate calcium and vitamin D is important. A Vitamin D pill is often recommended, as most Americans do not have enough dairy in their diet. Weight-training exercise will help because muscle pulls on the weaker bone and helps it remodel. Cutting back on smoking and alcohol intake is also a good idea.

Nutrition and exercise are often recommended as a first-line treatment, taking in adequate calcium and vitamin D is important.

For cases where the bone density is far less than normal (T-scores < -2.5), or if there has been a fragility fracture, the doctor usually recommends a medication to protect the bone from breaking down further. This class of medication is called bisphosphonates. For those patients that cannot take these oral pills, there are also injectable forms of medications that can help patients with osteoporosis.

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Last Modified: Feb 20, 2018 @ 3:01 pm
About the Authors

Chris Palmeiro D.O. M.Sc.


Dr. Palmeiro is Chairman of Endocrinology at the HealthAlliance of the Hudson Valley, he also serves patients with intellectual and developmental disabilities at the Westchester Institute of Human Development in Valhalla, New York. He has a Masters of Science degree in clinical nutrition and is a diplomate of the American Board of Internal Medicine. His interests within the realm of endocrinology include nutrition support, obesity counseling and the progressive management of diabetes.


Rishi Anand M.D.

Dr. Anand is a board certified Endocrinologist. He graduated magna cum laude from the accelerated 7 year Renssaelear Polytechnic Institute-Albany Medical College combined physician scientist program. He practices Endocrinology in Bristol, PA. There, he treats a wide range of Endocrine disorders including diabetes, thyroid disease, and other hormonal imbalances.

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